Organization
CLARKSVILLE SENIOR CARE, LLC
Active
Other names
Sentara MeadowView Terrace
Organization subpart
No
Provider details
NPI number
Authorized official
MR. STEWART R. NELSON (CHIEF FINANCIAL OFFICER)
(434) 517-3183
Entity
Organization
Contact information
Practice address
184 BUFFALO RD, CLARKSVILLE, VA 23927
(434) 374-4141
(434) 374-4491
Mailing address
PO BOX 649, SOUTH BOSTON, VA 24592-0649
(434) 517-3194
(434) 517-3721
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
NH2745
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4960793
—
VA
Enumeration date
06/30/2005
Last updated
02/02/2015
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